Active NPI
Tara O'Donnell PSYD & Associates
- Clinical Psychologist
- Dallas, PA
National Provider Identifier
1184422552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- TARA O'DONNELL PSYD & ASSOCIATES
- Practice address
- 1100 Twin Stacks Dr
Dallas, PA 18612-8505 - Phone
- (570) 855-5369
- NPI assigned
- Mar 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Marie Odonnell, PSYD
- Title
- Psychologist
- Phone
- (570) 855-5369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1100 Twin Stacks Dr
Dallas, PA 18612-8505
Mailing address
14 Dolores Rd
Wyoming, PA 18644-9366
Phone (570) 855-5369
National Provider Directory
National Provider DirectoryLocations
1100 Twin Stacks Dr
Dallas, PA 18612
Phone (570) 855-5369
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Wilkes Barre, PA
- NPI 1124288410
-
- Clinical Social Worker
- Dallas, PA
- NPI 1497314496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1184422552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 DOLORES RD",
"city": "WYOMING",
"state": "PA",
"postal_code": "186449366",
"telephone_number": "570-855-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 TWIN STACKS DR",
"city": "DALLAS",
"state": "PA",
"postal_code": "186128505",
"telephone_number": "570-855-5369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARA O'DONNELL PSYD & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "ODONNELL",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "570-855-5369",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.